Hepatocellular Carcinoma
Conditions
Keywords
Hepatocellular Carcinoma, TACE failure, Sorafenib, Hepatic arterial infusion chemotherapy, Oxaliplatin, fluorouracil, and leucovorin
Brief summary
Transarterial chemoembolization (TACE) is considered the gold standard for treating intermediate-stage hepatocellular carcinoma (HCC). However, any treatment guidelines do not specify the criteria for repeating TACE. This study was to compare HAIC with FOLFOX with sorafenib who showed TACE-resistant.
Interventions
administration of Oxaliplatin , fluorouracil, and leucovorin via the tumor feeding arteries
sorafenib 400mg bid
Sponsors
Study design
Eligibility
Inclusion criteria
* Diagnosed with HCC according to the European Association for the Study of the Liver (EASL) diagnostic criteria * TACE failure/refractoriness by Liver Cancer Study Group of Japan (LCSGJ) criteria * Without extrahepatic metastasis * The following laboratory parameters: Platelet count ≥ 60,000/μL Hemoglobin ≥ 8.5 g/dL Total bilirubin ≤ 1.5 mg/dL Serum albumin ≥ 35 g/L ASL and AST ≤ 5 x upper limit of normal Serum creatinine ≤ 1.5 x upper limit of normal INR ≤ 1.5 or PT/APTT within normal limits Absolute neutrophil count (ANC) \>1,500/mm3
Exclusion criteria
* Known history of HIV * History of organ allograft * Patients with clinically significant gastrointestinal bleeding within 30 days prior to study entry. * Serious non-healing wound, ulcer, or bone fracture * Evidence of bleeding diathesis. * Any other hemorrhage/bleeding event \> CTCAE Grade 3 within 4 weeks of first dose of study drug
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Progression free survival | 12 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of Adverse Events | 30 days | — |
| overall survival | 24 months | — |
| tumor response | 6 months | RECIST 1.1 |
Countries
China